SHIRLEY MAE BOATWRIGHT
Idaho LRT-558 Canceled
This Idaho license was held by SHIRLEY MAE BOATWRIGHT. The license is no longer active. It was granted on 05/29/1996 and expired on 06/30/2005
LICENSE DETAILS
- License Number: LRT-558
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 05/29/1996 (almost 29 years ago)
- Expiry Date: 06/30/2005 (almost 20 years ago)
LOCATIONS
A Residential
7604 W Highland Dr Coeur d Alene ID 83814